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Step 6 of 6 · Positive test to first trimester

Step 6: Pregnant

You got a positive test. Here is what to do in the first weeks, from your first appointment to what to eat and the prenatal to keep taking.

After a positive test, keep taking a prenatal with folic acid, call your clinician to book a first prenatal visit (usually in the first trimester), work out your due date, avoid alcohol and keep caffeine under 200 mg a day. Call sooner for heavy bleeding or one-sided pain.

A pregnant person resting a hand on their bump among leaves

What matters now

  • Keep taking a prenatal with folic acid and iodine
  • Book your first prenatal appointment
  • Work out your due date
  • No alcohol; caffeine under 200 mg a day
  • Check medications with your clinician

See a doctor sooner if

  • Heavy bleeding, or bleeding with cramps
  • Severe one-sided pain, shoulder pain or fainting
  • Vomiting so often you can’t keep fluids down
  • Low mood or anxiety most days for two weeks or more

First trimester

Emotional health

Nutrition

Tools

Calculators for this step

The first things to do

  1. Work out your dates. The due date calculator counts from your last period, conception or IVF transfer.
  2. Book a first visit. Your first prenatal appointment explains when it happens and which tests to expect, and the first trimester checklist covers the rest.
  3. Keep the prenatal going. Folic acid matters most in the first weeks.2 Prenatal nutrient doses lists what to look for on the label.
  4. Eat well and safely. ACOG advises keeping caffeine under 200 mg a day.1 Pregnancy nutrition covers what to eat and avoid.

Symptoms and worries

Early pregnancy symptoms vary a lot, and having few is not a bad sign. If you are worried about bleeding or pain, miscarriage signs explains what to watch for and when to get care.

Your mind matters too

Anxiety and depression in pregnancy are common and treatable, and they are especially common after infertility or loss. Read perinatal anxiety and depression for screening, helplines and therapy options.

This page is educational and is not medical advice. Talk to a clinician about your own situation, and seek urgent care for heavy bleeding, severe pain or fainting.

Sources

  1. 1Moderate caffeine consumption during pregnancy (Committee Opinion 462). American College of Obstetricians and Gynecologists. Less than 200 mg of caffeine a day
  2. 2About folic acid. Centers for Disease Control and Prevention

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